| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.76 | $6,107.00 | |
AllWays Health Partners
| Facility | $1,591.00 | $4,916.00 | $12,850.00 | |
AllWays Health Partners
| Facility | AS | $218.14 | $218.14 | $1,076.08 |
Fallon Health
| Facility | $853.74 | $1,845.74 | $6,679.00 | |
Mass General Brigham
| Facility | $2,324.00 | $5,097.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $218.14 | $218.14 | $1,076.08 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |